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HomeMy WebLinkAboutCORRESPONDENCE - AGREEMENT MISC - COALITION FOR THE POUDRE RIVER WATERSHED (2)November 18, 2019 Coalition for the Poudre River Watershed Attn: Jennifer Kovecses PO Box 876 Fort Collins, CO 80522 RE: Renewal, Restoration & Mitigation Projects - Coalition for the Poudre River Watershed Dear Ms. Kovecses: The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following: 1) The term will be extended for one (1) additional year, February 1, 2020 through January 31, 2021. If the renewal is acceptable to your firm, please sign this letter in the space provided and include a current copy of insurance certificate naming the City as an additional insured for General and Automotive Liability within the next fifteen (15) days. If this extension is not agreeable with your firm, we ask that you send us a written notice stating that you do not wish to renew the contract and state the reason for non-renewal. Please contact Marisa Donegon, Buyer at (970) 416-4377 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew this agreement by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP:kr Financial Services Purchasing Division 215 N. Mason St. 2nd Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707- fax fcgov.com/purchasing DocuSign Envelope ID: 4FAB2437-672A-4A45-BEE0-D8E39C954DF6 11/21/2019 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXP TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) LIMITS AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG OTHER: $ COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 430-'=291&)6 '311)6'-%0+)2)6%00-%&-0-8= 8,-7)2(367)1)28',%2+)78,)430-'=40)%7)6)%(-8'%6)*900= %((-8-32%0-2796)(c()7-+2%8)( 4)67323636+%2->%8-32 '+  2EQIH-RWYVIH 'SEPMXMSRJSVXLI4SYHVI6MZIV;EXIVWLIH %R]TIVWSRSVSVKERM^EXMSRXLEX]SYEVIVIUYMVIHXSEHHEWEREHHMXMSREPMRWYVIHSRXLMWTSPMG]YRHIVE[VMXXIR GSRXVEGXSVEKVIIQIRXGYVVIRXP]MRIJJIGXSVFIGSQMRKIJJIGXMZIHYVMRKXLIXIVQSJXLMWTSPMG]8LIEHHMXMSREP MRWYVIHWXEXYW[MPPRSXFIEJJSVHIH[MXLVIWTIGXXSPMEFMPMX]EVMWMRKSYXSJSVVIPEXIHXS]SYVEGXMZMXMIWEWEVIEP IWXEXIQEREKIVJSVXLEXTIVWSRSVSVKERM^EXMSR 2EQI3J%HHMXMSREP-RWYVIH4IVWSR ANI-RRG A1 03 91 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE ONLY In consideration of the premium charged, it is understood and agreed that the following is added as an additional insured: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) But only as respects a legally enforceable contractual agreement with the Named Insured and only for liability arising out of the Named Insured's negligence and only for occurrences of coverages not otherwise excluded in the policy to which this endorsement applies. It is further understood and agreed that irrespective of the number of entities named as insureds under this policy, in no event shall the company's limits of liability exceed the occurrence or aggregate limits as applicable by policy definition or endorsement. DocuSign Envelope ID: 4FAB2437-672A-4A45-BEE0-D8E39C954DF6 W 3V3VKERM^EXMSR W  7',)(90) '311)6'-%0+)2)6%00-%&-0-8='3:)6%+)4%68 8LMWIRHSVWIQIRXQSHMJMIWMRWYVERGITVSZMHIHYRHIVXLIJSPPS[MRK -RJSVQEXMSRVIUYMVIHXSGSQTPIXIXLMW7GLIHYPIMJRSXWLS[REFSZI[MPPFIWLS[RMRXLI(IGPEVEXMSRW 7IGXMSR--c;LS-W%R-RWYVIHMWEQIRHIHXS MRGPYHIEWEREHHMXMSREPMRWYVIHXLITIVWSR W SV SVKERM^EXMSR W WLS[RMRXLI7GLIHYPIFYXSRP] [MXLVIWTIGXXSPMEFMPMX]JSVFSHMP]MRNYV]TVSTIVX] HEQEKISVTIVWSREPERHEHZIVXMWMRKMRNYV] GEYWIHMR[LSPISVMRTEVXF]]SYVEGXWSV SQMWWMSRWSVXLIEGXWSVSQMWWMSRWSJXLSWIEGXMRK SR]SYVFILEPJ  -RXLITIVJSVQERGISJ]SYVSRKSMRKSTIVEXMSRW SV  -RGSRRIGXMSR[MXL]SYVTVIQMWIWS[RIHF]SV  VIRXIHXS]SY ,S[IZIV  8LIMRWYVERGIEJJSVHIHXSWYGLEHHMXMSREP  MRWYVIHSRP]ETTPMIWXSXLII\XIRXTIVQMXXIHF]  PE[ERH  -JGSZIVEKITVSZMHIHXSXLIEHHMXMSREPMRWYVIHMW  VIUYMVIHF]EGSRXVEGXSVEKVIIQIRXXLI  MRWYVERGIEJJSVHIHXSWYGLEHHMXMSREPMRWYVIH  [MPPRSXFIFVSEHIVXLERXLEX[LMGL]SYEVI  VIUYMVIHF]XLIGSRXVEGXSVEKVIIQIRXXS  TVSZMHIJSVWYGLEHHMXMSREPMRWYVIH % & ;MXLVIWTIGXXSXLIMRWYVERGIEJJSVHIHXSXLIWI EHHMXMSREPMRWYVIHWXLIJSPPS[MRKMWEHHIHXS 7IGXMSR---c0MQMXW3J-RWYVERGI -JGSZIVEKITVSZMHIHXSXLIEHHMXMSREPMRWYVIHMW VIUYMVIHF]EGSRXVEGXSVEKVIIQIRXXLIQSWX[I [MPPTE]SRFILEPJSJXLIEHHMXMSREPMRWYVIHMWXLI EQSYRXSJMRWYVERGI  6IUYMVIHF]XLIGSRXVEGXSVEKVIIQIRXSV  %ZEMPEFPIYRHIVXLIETTPMGEFPI0MQMXWSJ  -RWYVERGIWLS[RMRXLI(IGPEVEXMSRW  [LMGLIZIVMWPIWW 8LMWIRHSVWIQIRXWLEPPRSXMRGVIEWIXLI ETTPMGEFPI0MQMXWSJ-RWYVERGIWLS[RMRXLI (IGPEVEXMSRW '+ k-RWYVERGI7IVZMGIW3JJMGI-RG 4EKISJ DocuSign Envelope ID: 4FAB2437-672A-4A45-BEE0-D8E39C954DF6 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 11/21/2019 License # 0757776 (303) 893-0300 (866) 243-0727 10023 Coalition for the Poudre River Watershed 320 East Vine Dr., #213 Fort Collins, CO 80524 A 1,000,000 X 2019-40092 8/1/2019 8/1/2020 500,000 20,000 1,000,000 2,000,000 2,000,000 LIQUOR LIABILIT 1,000,000 A 1,000,000 X 2019-40092 8/1/2019 8/1/2020 City of Fort Collins PO Box 580 Fort Collins, CO 80522 COALFOR-10 KAMUSSEN HUB International Insurance Services (COL) 2000 S. Colorado Blvd., Tower 2, Suite 150 Denver, CO 80222 Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) X X X X DocuSign Envelope ID: 4FAB2437-672A-4A45-BEE0-D8E39C954DF6